Individual
MS. REBECCA LYNN PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
380 HOSPITAL DR., SUITE 410, MACON, GA 31217
(478) 746-5644
(478) 745-4849
Mailing address
P.O. BOX 2564, MACON, GA 31203
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN164784
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
525983
WELLCARE
GA
05
—
567635588A
—
GA
01
—
580628385
TRICARE
GA
01
—
P00720946
RAILROAD MEDICARE
GA
Enumeration date
04/22/2009
Last updated
10/22/2025
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